During an assessment under our new approach
HMP Leeds is a Category B men’s reception and resettlement prison operated by His Majesty’s Prison and Probation Service (HMPPS). Located in Leeds, West Yorkshire, the prison has capacity for approximately 1,110 men.
Practice Plus Group Health and Rehabilitation Services Limited (PPG), was the provider of healthcare services. The provider was registered with the Care Quality Commission (CQC) to provide the following regulated activities at the location: Treatment of disease, disorder or injury, Diagnostic and screening procedures, and Personal care.
Our last inspection of the service was undertaken in partnership with His Majesty’s Inspectorate of Prisons (HMIP) in July 2025. We found that the quality of healthcare services provided at this location required improvement. We issued Action Plan Requests in relation to breaches of Regulation 12 (Safe Care and Treatment) and Regulation 18 (Staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This required the service to detail how they intended to meet the relevant legal requirements of these regulations. These breaches related specifically to the delivery of primary healthcare services within the prison.
The last joint inspection report was published on the HMIP website on 21 October 2025. The joint inspection report can be viewed here: https://cdn.websitebuilder.service.justice.gov.uk/uploads/sites/19/2025/10/Leeds-web-2025.pdf
On 03 February 2026 and 04 February 2026, we conducted an announced, focused responsive inspection to assess whether the service was meeting the legal requirements of the relevant regulations. As the previous breaches related specifically to the delivery of primary healthcare services within the prison, the scope of this inspection was focused on the primary healthcare services provided at the location.
At this inspection, we assessed 6 quality statements: 4 under the key question of Safe, 1 under Effective, and 1 under Well-led. We found that improvements had been made, and the service was no longer in breach of Regulation 12 (Safe care and treatment), or Regulation 18 (Staffing). However, a breach of Regulation 17 (Good governance) was identified.
We found that staffing levels across shifts had improved, with the service meeting its optimum staffing requirements. Regular agency staff were used to cover rota gaps, and recruitment activity had filled outstanding vacancies. Essential clinics for screening and monitoring patients’ health were no longer frequently cancelled, and processes were in place to oversee clinic cancellations and monitor service performance. Patients assessed as clinically requiring transfer to A&E were monitored by healthcare staff, with escalation to prison operations where delays occurred due to limited prison staff availability. Oversight of prescription requests had also improved following changes to the processes for submitting requests.
However, we identified that systems and processes in place to monitor the timely return of pathology results required improvement. We found examples where these systems and processes had not functioned as intended; as a result, the tracking of some patients’ results had not been effectively managed by the service. This constituted a breach of Regulation 17 (Good governance).
We do not currently rate healthcare services provided in prisons. Instead, we highlight good practice, identify areas for improvement, and take regulatory action where necessary.